DR. JODIE SHIPLEY (DNP) – Psychiatry Physician, NPI 1811603376
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,023 NURSE PRACTITIONER in MO
Provider Addresses for DR. JODIE SHIPLEY (DNP)
7955 LEBANON RD
TROY, IL 622942805
Phone: (618) 960-8991
Type: Mailing
10004 KENNERLY RD STE 362B
SAINT LOUIS, MO 631282178
Phone: (314) 525-5050
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 162 Open Payments records for all available years, with a total value of $3,621.
Total Amount is formed as General ($3,621) + Research ($0) + Ownership ($0) = $3,621.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($758).
Total Amount
$3,621
General + Research + Ownership
Payments
162
Total payment records
General Amount
$3,621
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $758 |
| Neurocrine BioSciences Inc. | $297 |
| Axsome Therapeutics, Inc. | $293 |
| ITI, Inc. | $281 |
| Alkermes, Inc. | $208 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-04-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230419002965 | I | Nurse Practitioner | MO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62294)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | MO | |
| Clinical Social Worker | MO | |
| Clinical Social Worker | MO | |
| Nurse Practitioner | MO | |
| Psychiatry, Geriatric Psychiatry | MO | |
| Nurse Practitioner | MO | |
| P S Y C H I A T R Y | NM | |
| Nurse Practitioner | MO | |
| P S Y C H I A T R Y | MO | |
| Clinical Social Worker | IL |
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